[Radiography of emergency facial injuries]. / La radiographie en traumatologie faciale d'urgence.

Primary radiological examinations after maxillofacial injuries are often poorly performed. Statistical analysis of 25 case-reports of patients with these injuries enabled the essential projections to be defined in order to establish a rapid diagnosis. A new type of panoramic apparatus for maxillary exploration enables films to be taken with the patient recumbent.

[Solitary maxillary cysts (author's transl)]. / Kystes solitaires des maxillaires.

Four cases of solitary maxillary cysts are reported, and our current knowledge of these rare lesions reviewed. Their diagnosis should be suspected whenever bone lacunae are detected, that are not the result of dental disorders. Surgical exploration demonstrates the presence of a cavity that is almost always unilocular, and contains blood-stained fluid, or is completely empty in some cases. Curettage may be employed but filling by a bone graft is not necessary. No recurrence occurs, in contrast to those present in the long bones, and bone repair is rapid after curettage. Though of a probable dystrophic nature, their true significance is still unknown.

[Rapidly progressing basal-cell naevi (author's transl)]. / Naevomatose baso-cellulaire d'évolution sévère.

Basal-cell epitheliomas are of primary importance when discussing a case of multiple naevi. Two factors have to be considered to explain therapeutic failures: --Firstly, the very active local malignancy of these basal-cell epitheliomas; --Secondly, the long delay in applying drastic treatment such as wide excision and immediate repair, and the danger arising from divergent therapy because of lack of a common decision between the various specialists concerned: dermatologist, ophthalmologist, radiotherapist, and plastic or maxillofacial surgeon.

[Craniofacial trauma. Value and methods of early treatment. 70 cases (author's transl)]. / Traumatismes cranio-faciaux. Intérêt et modalités du traitement précoce. A propos de 70 observations.

The two essential problems posed by craniofacial trauma are assessed in the light of 70 collected cases. Firstly, the "time" of treatment. Immediate surgery by two teams, neurosurgical and maxillofacial, may be justified in the presence of craniocerebral lesions. This occurs rarely. The cranial problem is often explored during the first 3 or 4 days and with the exception of certain cases of immediate or delayed coma, maxillofacial treatment may be undertaken early. The treatment of cerebrospinal fluid fistulae remains controversial. Secondly, the surgical technique. Accent is placed upon two points which are still discussed : cutaneous phase and bone phase in open trauma ; reconstruction of the cranial level and the facial mass by fixation using plates or steel wire, bone grafts or inert materials, with in particular surgery for fractures of the floor of the orbit in all cases. A number of clinical cases suggest that suitability of eclectism in this surgical approach to craniofacial trauma.

[Therapeutic principles in angioma of the mandible: applications in relation to a clinical observation (author's transl)]. / Attitude thérapeutique face à un angiome mandibulaire. Réflexions à propos d'un cas clinique.

When confronted with a case of angioma of the mandible, treatment should be directed towards two main areas:--to stop blood loss. Ligature of the external carotid can be life-saving, but it does not prevent the formation of nearby anastomotic vessels which refill, more or less rapidly, the external carotid axis. Ligature make embolization impossible by femoral way. A by-pass operation to improve permeability is also dangerous if not impossible. Ligature should be reserved only for those cases in which there is an immediate threat to life. On the contrary, embolization is necessary before surgery. --to treat the angioma. As radiotherapy is not effective or is dangerous, surgical treatment is necessary; either by a conservative operation or by radical resection. All these facts are illustrated dramatically by the case reported.